A Cross-Sectional Study Investigates the Use of Lactational Amenorrhea for Contraception Among Women

Background: The Lactational Amenorrhea Method (LAM) is a natural contraceptive technique that combines breastfeeding with family planning, particularly for postpartum women. This study explores the prevalence, accuracy, and sociodemographic influences on LAM usage among women attending a health center. Methods: A cross-sectional study was conducted among 300 postpartum women aged 15–45 years with at least one living child under five years old. Data collection involved structured interviews using a questionnaire covering sociodemographic characteristics, breastfeeding practices, and LAM usage. Statistical analysis included descriptive statistics and logistic regression to identify factors influencing LAM practice. Results: Among participants, 42.7% were currently breastfeeding, and 33.1% of women who had ever breastfed reported using LAM for contraception. However, only 9.8% adhered to the ProperLAM criteria, while 90.2% practiced it incorrectly, leading to a 30.1% unintended pregnancy rate among inProperusers. Rural residence and lower educational attainment were associated with higher LAM usage. Non-working women also demonstrated significantly higher adoption rates compared to working women. Conclusion: This study identified mothers who had at least three children as being more likely to practice LAM in rural areas. Thus, the health providers would encourage mothers to breastfeed and dispel any misinformation with effective counseling on the lactational amenorrhea method